2009 Image Interpretation Session - Case 2

Signalment: 5 year old, M(c), Dachshund “Radar”

History: Radar presented to an emergency service for acute onset vomiting. He had been fine earlier in the day. This evening he seemed lethargic and was not interested in his food. While lying on the couch with the owner he regurgitated a large amount of bile. The owner found multiple other small piles throughout the house.

Other information: Admitted for evaluation and observation. No vomiting in hospital. CBC normal.

Study Provided: First set of radiographs is the initial presentation. Second set is 8 hours post presentation. A nasogastric tube was placed 6 hour laters and approximately 800mL green fluid and gas was aspirated. A third set of radiographs were repeated after stomach decompression.